Skip to main content

Advertisement

SpringerLink
Log in

Quality of Life and Masticatory Function Assessment in a Patient with Immediate Alveolar Bone Reconstruction Using Particulate Cancellous Bone Marrow and Rehabilitation with Dental Implant: a Case Report

  • Case Report
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

The aim of this report is to present a case of immediate alveolar bone reconstruction with particulate cancellous bone marrow (PCBM) and rehabilitation implant supported fixed prosthesis, and to evaluate the clinical outcomes based on quality of life (QOL) and masticatory function. A 25-year-old woman with mandibular ameloblastoma was treated by enucleation, peripheral osteotomy, and immediate alveolar reconstruction with PCBM. Nine months later, three dental implants were placed in the reconstructed area. After second-stage surgery, screw-retained prosthesis was fabricated. Immediate alveolar reconstruction and dental implant prosthetic rehabilitation definitely contributed to improving postoperative QOL for the patient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Data Availability

Data is available.

Code Availability

Not applicable.

Abbreviations

QOL:

Quality of life

PCBM:

Particulate cancellous bone marrow

CT:

Computed tomography

References

  1. Zhu J, Yang Y, Li W. Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Br J Oral Maxillofac Surg. 2014;52:163–7.

    Article  Google Scholar 

  2. Patel A, Harrison P, Cheng A, Bray B, Bell RB. Fibular reconstruction of the maxilla and mandible with immediate implant-supported prosthetic rehabilitation: jaw in a day. Oral Maxillofac Surg Clin North Am. 2019;31:369–86.

    Article  Google Scholar 

  3. Saijo H, Sugiyama M, Kanno Y, Ohkubo K, Hoshi K, Takato T. A 2-stage reconstruction of the jaw using vascularized bone and secondary alveolar ridge augmentation with particulate cancellous bone and marrow. Implant Dent. 2016;25:302–6.

    Article  Google Scholar 

  4. Marx RE, Ames JR. The use of hyperbaric oxygen therapy in bony reconstruction of the irradiated and tissue-deficient patient. J Oral Maxillofac Surg. 1982;40:412–20.

    Article  CAS  Google Scholar 

  5. Jacobsen C, Kruse A, Lübbers HT, Zwahlen R, Studer S, Zemann W, Seifert B, Grätz KW. Is mandibular reconstruction using vascularized fibula flaps and dental implants a reasonable treatment? Clin Implant Dent Relat Res. 2014;16:419–28.

    Article  Google Scholar 

  6. Jackson RS, Price DL, Arce K, Moore EJ. Evaluation of clinical outcomes of osseointegrated dental implantation of fibula free flaps for mandibular reconstruction. JAMA Facial Plast Surg. 2016;18:201–6.

    Article  Google Scholar 

  7. Takahashi T, Inai T, Kochi S, Fukuda M, Yamaguchi T, Matsui K, Echigo S, Watanabe M. Long-term follow-up of dental implants placed in a grafted alveolar cleft: evaluation of alveolar bone height. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105(3):297–302.

    Article  Google Scholar 

  8. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284–90.

    Article  CAS  Google Scholar 

  9. Sato Y, Minagi S, Akagawa Y, Nagasawa T. An evaluation of chewing function of complete denture wearers. J Prosthet Dent. 1989;62:50–3.

    Article  CAS  Google Scholar 

  10. Vayvada H, Mola F, Menderes A, Yilmaz M. Surgical management of ameloblastoma in the mandible: segmental mandibulectomy and immediate reconstruction with free fibula or deep circumflex iliac artery flap (evaluation of the long-term esthetic and functional results). J Oral Maxillofac Surg. 2006;64:1532–9.

    Article  Google Scholar 

  11. Chana JS, Chang YM, Wei FC, Shen YF, Chan CP, Lin HN, et al. Segmental mandibulectomy and immediate free fibula osteoseptocutaneous flap reconstruction with endosteal implants: an ideal treatment method for mandibular ameloblastoma. Plast Reconstr Surg. 2004;113:80–7.

    Article  Google Scholar 

  12. Bilkay U, Tokat C, Helvaci E, Ozek C, Alper M. Free fibula flap mandible reconstruction in benign mandibular lesions. J Craniofac Surg. 2004;15:1002–9.

    Article  Google Scholar 

  13. Bataineh AB. Effect of preservation of the inferior and posterior borders on recurrence of ameloblastomas of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:155–63.

    Article  CAS  Google Scholar 

  14. Sanz-Alonso J, Martínez-Rodríguez N, Martín-Ares M, Barona-Dorado C, Cortés Bretón-Brinkmann J, Martínez-González JM. Unicystic ameloblastoma: rehabilitation with chin graft harvested and implant-supported fixed prosthesis. Oral Implantol. 2017;10:448–56.

    Article  CAS  Google Scholar 

  15. Schlieve T, Hull W, Miloro M, Kolokythas A. Is immediate reconstruction of the mandible with nonvascularized bone graft following resection of benign pathology a viable treatment option? J Oral Maxillofac Surg. 2015;73:541–9.

    Article  Google Scholar 

  16. Millard DR, Campbell RC, Stokley P, Garst W. Interim report on immediate mandibular repair. Am J Surg. 1969;118:726–31.

    Article  CAS  Google Scholar 

  17. Lawson W, Loscalzo LJ, Baek SM, Biller HF, Krespi YP. Experience with immediate and delayed mandibular reconstruction. Laryngoscope. 1982;92:5–10.

    Article  CAS  Google Scholar 

  18. Simon EN, Merkx MA, Kalyanyama BM, Shubi FM, Stoelinga PJ. Immediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study. Int J Oral Maxillofac Surg. 2013;42:106–12.

    Article  CAS  Google Scholar 

  19. Pastore GP, Martins IS, Goulart DR, Prati AJ, de Moraes M, Pastore PR, et al. Surgical management of mandibular ameloblastoma and immediate reconstruction with nonvascularized bone graft and hyperbaric oxygen therapy. Int J Odontostomat. 2016;10:409–17.

    Article  Google Scholar 

  20. Iino M, Fukuda M, Nagai H, Hamada Y, Yamada H, Nakaoka K, et al. Evaluation of 15 mandibular reconstructions with Dumbach Titan Mesh-System and particulate cancellous bone and marrow harvested from bilateral posterior ilia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:e1-8.

    Article  Google Scholar 

  21. Yusa K, Yamanouchi H, Yoshida Y, Ishikawa S, Sakurai H, Iino M. Evaluation of quality of life and masticatory function in patients treated with mandibular reconstruction followed by occlusal rehabilitation with dental implants: a preliminary report. J Oral Maxillofac Surg, Med, Pathol. 2017;29:499–503.

    Article  Google Scholar 

  22. Kim BS, Kim YK, Yun PY, Yi YJ, Lee HJ, Kim SG, et al. Evaluation of peri-implant tissue response according to the presence of keratinized mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:e24–8.

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank dental hygienists and dental technicians who made it possible to compile this report.

Author information

Authors and Affiliations

  1. Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery Faculty of Medicine, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan

    Kazuyuki Yusa, Shigeo Ishikawa, Tomoharu Hemmi, Shouhei Ueda & Mitsuyoshi Iino

Authors
  1. Kazuyuki Yusa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shigeo Ishikawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tomoharu Hemmi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Shouhei Ueda
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mitsuyoshi Iino
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

KY performed surgery and drafted the manuscript. SI performed surgery and suggested the treatment method. TH and SU managed hospitalization. MI provided judgment and assisted in editing the final version of the manuscript. All authors read and approved the final version of the manuscript prior to submission.

Corresponding author

Correspondence to Kazuyuki Yusa.

Ethics declarations

Ethics Approval and Consent to Participate

Approval was obtained from the Ethics Committee at Yamagata University Faculty of Medicine (S 31 and 2019–149).

Consent for Publication

Written informed consent was obtained from the patient for publication of this case report and any accompanying images.

Competing Interests

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Surgery

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yusa, K., Ishikawa, S., Hemmi, T. et al. Quality of Life and Masticatory Function Assessment in a Patient with Immediate Alveolar Bone Reconstruction Using Particulate Cancellous Bone Marrow and Rehabilitation with Dental Implant: a Case Report. SN Compr. Clin. Med. 4, 157 (2022). https://doi.org/10.1007/s42399-022-01236-8

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s42399-022-01236-8

Keywords

Search

Navigation